Distal Radius Fractures
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Transcript of Distal Radius Fractures
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David Moss, MDSibley Memorial Hospital
Washington Orthopaedics & Sports Medicine
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Wrist anatomy
Types of wrist fractures
Who gets wrist fractures?
Mechanism of injury
Presentation
Signs and symptoms
Typical course of treatment
Prevention
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Who gets wrist fractures? Fall onto outstretched hand
Active & athletic
High energy
Elderly
Osteoporosis
One of the most common fractures seen in ER
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Normal wrist x-ray
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Splint or Cast
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Closed reduction
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Surgery
For unstable fractures
External fixation
Open Reduction and Internal Fixation – “ORIF"
“plates and screws”
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External fixation
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ORIF
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Osteoporosis Definition: Bone Density
<1 SD of normal bone: normal
1-2.5 SD below normal: osteopenic
>2.5 SD below normal: osteoporotic
Based on DEXA scan of hip and spine
1/3 of white women > 65 years old
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Bone health Maintain bone density
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Medication & vitamins Bisphosphonates
Fosamax
Boniva
Alendronate
Zometa
Actonel
Calcium
1000-1200 mg/day
Vitamin D
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Active lifestyle
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Healthy diet
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David Moss, MD
Washington Orthopaedics & Sports Medicine, PA
5454 Wisconsin Ave, Ste 1000
301-657-1996